Naile Bilgili

Screen time of adolescents in an economically developing country: The case of Turkey

Background: Most studies of screen time of adolescents have been carried out in well-developed countries. There is little information concerning screen time of adolescents in developing countries such as Turkey. Aim: This study examined the screen time of adolescents with regard to gender, school type and sport participation in Turkey, selected as an example of an economically developing country. Subjects and methods: A total of 916 high school students participated in this study. The household activities and sport indexes of the Physical Activity Assessment Questionnaire were administered to the participants. Results: Male students had higher screen time (hours/day) than female students and the screen time of the adolescents was longer at the weekends than on weekdays (p < 0.01). The students attending private schools spent more screen time on both weekdays and weekends than those attending public schools (p < 0.01). The results did not reveal significant screen time differences with regard to participation duration in sport activities (p>0.05). Conclusions: Male adolescents and students attending private schools had a higher screen time rate than their counterparts, both on weekdays and at the weekend. Participating in sport for different durations did not make any difference to the screen time of these adolescents.

Quality of life of older adults in Turkey

The purpose of this study was to examine the factors affecting the quality of life of the elderly people in Turkey. Three-hundred community-dwelling older adults (Mage=68.35, SD=5.80 years) participated in this study. The quality of life was examined through World Health Organization Quality of Life Questionnaire-Older Adults Module Turkish Version (WHOQOL-OLD Turkish). Analysis of Variances (ANOVA) showed significant age differences in sensory abilities, social participation, and intimacy sub-scale scores. Post hoc Scheffe Test results indicated that elderly people aged 75 years and over differed from other age groups; although their scores in social participation and intimacy were lower; they had higher scores in sensory abilities than those aged 60-65 and 66-74 years. There were significant differences between the educational levels of these elderly people in sensory abilities, autonomy, past-present-and-future activities, social participation, and death-and-dying sub-scales. The autonomy, past-present-and-future activities, social participation, and death-and-dying scores of those with high school education were higher than that of those with secondary school or less education except in sensory abilities scores. There were differences found between the variable of with whom the elderly people lived and of QOL sub-scales of the elderly peoples sensory abilities, past-today-and-future activities, death-and-dying, social participation, and intimacy. In addition, the total average score of the QOL sub-scales with the sufficiency of income of the elderly people were interconnected. In conclusion, the findings revealed that gender, age, education, marital status, childbearing, social insurance, health status, living arrangement and income variables are the determinant to improving the quality of life of elderly people.

The Psychological Characteristics and Health Related Behavior of Adolescents: The Possible Roles of Social Physique Anxiety and Gender

The purpose of this study was to examine whether or not the social physique anxiety level and gender have an influence on psychological characteristics and health related behavior of adolescents. Five hundred and ninety eight female (M(age) = 14.95, SD = .70 years) and three hundred and eighty four male (M(age) = 15.08, SD = .76 years) adolescents voluntarily participated in this study. The Social Physique Anxiety Scale (SPAS), three subscales of the Physical Self-Description Questionnaire, and the Multidimensional Perfectionism Scale as indicators of psychological characteristics were administered to all participants. The Eating Attitude Test and Physical Activity Assessment Questionnaire were used to determine health related behavior. It was found that adolescents with high levels of SPA (HSPA) had more unfavourable eating attitudes, higher scores in socially-prescribed perfectionism, negative global physical self-worth and negative body related perceptions than those with low levels of SPA (LSPA). Physical activity levels of adolescents did not differ in the two SPA groups (high/low level). In addition, male adolescents in the present study were more physically active and had favorable eating attitudes and more positive self-perceptions of body fat and general physical self-worth than their female counterparts.

The transcultural nursing concept: a study of nursing students in Turkey.

BACKGROUND Cultural differences are known to be pronounced in Turkey, and some difficulties are encountered in patient care. Cultural sufficiency in providing health care to the patients is of great importance in satisfactory care delivery. AIM To determine the cultural diversity that the students experienced between the patients and themselves while providing care to patients. Knowledge of transcultural nursing was also investigated. DESIGN AND METHODS This was a descriptive study. The population comprised of 650 undergraduate students attending the nursing schools of three universities. A total of 622 students were included in the sample. The survey method was used for data collection. Percentages and chi-square test were used. RESULTS Most of the students (85.5%) had experienced cultural differences while giving care to their patients and 73.8% did not know the definition of this concept. The issues where cultural differences were experienced to the highest degree were differences in dialect and pronunciation (53.4%), differences of language (37%), traditions and customs of the individual (30.7%), and religious belief and sect (30.2%). It was found that the grade the students were in had a significant effect on the experience of cultural differences (P<0.05). CONCLUSIONS The majority of students experience cultural diversity in patient care. It is thought that transcultural care placed in curriculum even as a separate course will guide nursing students in all stages of patient care. Thus, the effect of cultural diversity in patient care can be minimized with the help of education.

Reproductive history, socioeconomic status and disability in the women aged 65 years or older in Turkey

Pregnancy and childbirth are an important physiological and emotional phenomenon in their lives for most women and studies have shown that this process may have a significant impact on their health at later ages. The objective of the study is to examine the relationship between functional disabilities in women over the age of 65 and their reproductive history and socioeconomic status. This is a cross-sectional study. The study group consisted of 543 women aged 65 or over. A general questionnaire and the Brief Disability Questionnaire (BDQ) were used to collect data with face-to-face interview in home visits. Of the women 79.2% have disability. First childbirth was experienced at the average age of 19.6+/-3.3 and the average age at which the women experienced their last delivery was 32.5+/-6.3. Parity was 4.1+/-1.7. Advanced age, being widowed and illiterate, less income, being outside of the middle class and having more than four children are important determinants for later life disability. The study highlights the importance of focusing not just on the short-term effects of childbearing and socioeconomic factors, but also of taking into account the possibility of long-term effects on disability in older women.

Attitudes of Turkish Nursing Students Related to Ageism.

Background: The sociocultural structure of society, changes in attitude and behaviors, and individual and social perspectives on aging all affect the nature of services that are offered to elderly people. “Ageism” is one of the problems that has an impact on the level and quality of service that is provided to the older adults. Purpose: This study was undertaken to examine the attitudes of Turkish undergraduate nursing students toward aging. Methods: A cross-sectional survey was given to 495 nursing students in four universities in Turkey. A questionnaire developed from the related literature and the Ageism Attitude Scale were used to collect data, which was analyzed using standard descriptive statistical methods. Results: The variables of school year, age, cohabitation with an elderly person (yes/no), prior experience with the older adults (yes/no), and willingness to work with the older adults after graduation all significantly influenced the attitudes of participants toward aging (p < .05). Conclusions/Implications for Practice: The results from the Ageism Attitude Scale revealed that the participants held a generally positive attitude toward aging. It is of great importance to include more lessons on the older adults and the aging process and to increase activities to develop awareness of ageism, to help students develop positive attitudes and perspectives toward the care of the older adults. Because experience caring for the older adults is important in developing a positive attitude toward the older adults, arranging relevant clinical practice, especially at institutions with an elderly population, may be an effective approach to strengthening the communication and experiences of nursing students.

Frequency and affecting factors of metabolic syndrome in women older than 20 years of age

OBJECTIVE Metabolic syndrome (MetS) is a major cause of morbidity and mortality affecting increasing number of people. This was a cross-sectional study aiming to identify the prevalence of MS and risk factors in women aged 20 years and older. METHODS Studys universe consisted of women aged 20 years and older living in Gölbaşi Ali Soydan Health Centres territory. Eight hundred fifty women were accessed among them. Data were collected by a questionnaire. Measurements were done in the health centre following fasting 12 hours. One way ANOVA, correlation and logistic regression analyses were used for statistical analysis. RESULTS The mean age was 39.4 years, 62% have primary school education. Prevalence of MetS was found 39.1%; low high-density lipoprotein (HDL) and abdominal obesity were the most common MetS components. On the contrary, education and age had negative correlation with HDL and positive correlation with other MetS components. Age (OR=1.091; 95%CI = 1.071-1.110; p=0.0001), and education lower than middle school (literate OR=2.491; 95%CI = 1.334-2.855; p=0.007; primary school OR=1.841; 95%CI 1.281-2.855; p=0.006) were found to increase MetS risk. CONCLUSION Even more than half of our study group who has urban life style has two or more MetS components. Because of older age, accelerant factor for MetS, improving of healthy lifestyle behaviors in study group with genetic and environmental risk factors should be primary goal in terms of prevention of cardiovascular diseases and diabetes.

Validity and reliability of the Very Short form of the Physical Self-Inventory among Turkish adolescents.

ABSTRACT The study aimed to test the validity and reliability of the Very Short form of the Physical Self-Inventory (PSI-VS) among a sample of 635 Turkish adolescents. These adolescents have completed the 12 original items of the PSI-VS, plus a positively worded reformulation of the single reverse-keyed item of the physical attractiveness subscale. A series of confirmatory factor analyses was used to examine the psychometric properties of the original and modified versions of the PSI-VS. Findings revealed superior psychometric properties with the modified version than with the original set of items. The modified version was thus subsequently used to examine its factor structure invariance across sexes, age groups and sport practice involvement. Results not only report that this version was fully invariant across, but also that latent means were significantly different across sexes and sport practice involvement. In sum, the Turkish modified version of the PSI-VS presents acceptable psychometric properties and may be used to repeatedly and/or intensively assess participants’ physical self-perceptions in the context of sport and exercise interventions.